Abstract

Case Report

Effectiveness, longevity, and color stability of in-office bleaching (6% H2O2 gel/Violet LED) and diastema closure with direct composite: 3-year follow-up

Larissa Luri Almeida Amorim Ikejiri, Larissa Álamo, Mateus Zamora Galli, Juliana Fraga Soares Bombonatti*, Marilia Mattar de Amoêdo Campos Velo and Rafael Francisco Lia Mondelli

Published: 14 April, 2023 | Volume 7 - Issue 1 | Pages: 001-006

To reduce bleaching side effects, the use of low concentrations of Hydrogen Peroxide (HP) agents associated with hybrid light (violet LED/Diode Laser) has gained interest. 
Case report: The aim of this report is to describe a case of a 16-year-old patient that presented a complaint related to the color of his teeth and a maxillary midline diastema. In-office bleaching with 6% HP associated with hybrid light (violet LED/Diode Laser) was performed. The bleaching gel was applied once on the teeth and light-activated for 1 minute (15 times) followed by 1min intervals (15 times) with a total bleaching time of 30 minutes. After the bleaching procedure, the teeth were polished and the desensitizer was applied for 4 minutes. Two bleaching sessions were performed at a 1-week interval. The diastema was closed with direct resin composite restorations without any tooth preparation. The conventional 3-step bonding agent was used and A1 dentin shade and B1 enamel shade were used followed by polishing discs. At 3-year recall, discoloration and fractures were not found on the the teeth or restorations and patient was completely satisfied. 
Conclusion: the conservative and safe option of bleaching with a low-concentrated HP gel associated with violet LED light is an interesting option for young patients and presents longevity over time.

Read Full Article HTML DOI: 10.29328/journal.jcad.1001033 Cite this Article Read Full Article PDF

Keywords:

Bleaching agents; Composite resins; Diastema; Light source; Tooth bleaching

References

  1. Hwang SK, Ha JH, Jin MU, Kim SK, Kim YK. Diastema closure using direct bonding restorations combined with orthodontic treatment: a case report. Restor Dent Endod. 2012 Aug;37(3):165-9. doi: 10.5395/rde.2012.37.3.165. Epub 2012 Aug 29. PMID: 23429455; PMCID: PMC3569402.
  2. Borges AB, Zanatta RF, Barros AC, Silva LC, Pucci CR, Torres CR. Effect of hydrogen peroxide concentration on enamel color and microhardness. Oper Dent. 2015 Jan-Feb;40(1):96-101. doi: 10.2341/13-371-L. Epub 2014 Aug 19. PMID: 25136902.
  3. Gallinari MO, Fagundes TC, da Silva LM, de Almeida Souza MB, Barboza A, Briso A. A New Approach for Dental Bleaching Using Violet Light With or Without the Use of Whitening Gel: Study of Bleaching Effectiveness. Oper Dent. 2019 Sep/Oct;44(5):521-529. doi: 10.2341/17-257-L. Epub 2019 Apr 25. PMID: 31021692.
  4. Mondelli R, Rizzante F, Rosa ER, Borges A, Furuse AY, Bombonatti J. Effectiveness of LED/Laser Irradiation on In-Office Dental Bleaching after Three Years. Oper Dent. 2018 Jan/Feb;43(1):31-37. doi: 10.2341/16-208-C. PMID: 29284097.
  5. Eimar H, Siciliano R, Abdallah MN, Nader SA, Amin WM, Martinez PP, Celemin A, Cerruti M, Tamimi F. Hydrogen peroxide whitens teeth by oxidizing the organic structure. J Dent. 2012 Dec;40 Suppl 2:e25-33. doi: 10.1016/j.jdent.2012.08.008. Epub 2012 Aug 24. PMID: 22925924.
  6. Gallinari MO, Cintra LTA, Souza MBA, Barboza ACS, Esteves LMB, Fagundes TC, Briso ALF. Clinical analysis of color change and tooth sensitivity to violet LED during bleaching treatment: A case series with split-mouth design. Photodiagnosis Photodyn Ther. 2019 Sep;27:59-65. doi: 10.1016/j.pdpdt.2019.05.016. Epub 2019 May 20. PMID: 31121330.
  7. Panhoca VH, de Oliveira BP, Rastelli ANS, Bagnato VS. Dental Bleaching Using Violet Light Alone: Clinical Case Report. Dentistry. 2017; 7(11):459. doi: 10.4172/2162-1122.1000459.
  8. Bersezio C, Estay J, Jorquera G, Peña M, Araya C, Angel P, Fernández E. Effectiveness of Dental Bleaching With 37.5% and 6% Hydrogen Peroxide and Its Effect on Quality of Life. Oper Dent. 2019 Mar/Apr;44(2):146-155. doi: 10.2341/17-229-C. Epub 2018 Oct 10. PMID: 30517065.
  9. Kutuk ZB, Ergin E, Cakir FY, Gurgan S. Effects of in-office bleaching agent combined with different desensitizing agents on enamel. J Appl Oral Sci. 2018 Nov 8;27:e20180233. doi: 10.1590/1678-7757-2018-0233. PMID: 30427477; PMCID: PMC6223786.
  10. Faraoni-Romano JJ, Da Silveira AG, Turssi CP, Serra MC. Bleaching agents with varying concentrations of carbamide and/or hydrogen peroxides: effect on dental microhardness and roughness. J Esthet Restor Dent. 2008;20(6):395-402; discussion 403-4. doi: 10.1111/j.1708-8240.2008.00216.x. PMID: 19120787.
  11. de Almeida LC, Soares DG, Gallinari MO, de Souza Costa CA, Dos Santos PH, Briso AL. Color alteration, hydrogen peroxide diffusion, and cytotoxicity caused by in-office bleaching protocols. Clin Oral Investig. 2015 Apr;19(3):673-80. doi: 10.1007/s00784-014-1285-3. Epub 2014 Jul 19. PMID: 25035067.
  12. Klaric E, Rakic M, Sever I, Milat O, Par M, Tarle Z. Enamel and Dentin Microhardness and Chemical Composition After Experimental Light-activated Bleaching. Oper Dent. 2015 Jul-Aug;40(4):E132-41. doi: 10.2341/14-148-L. Epub 2015 Mar 6. PMID: 25748206.
  13. Mondelli RFL, Gabriel TRCG, Rizzante FAP, Magalhães AC, Bombonatti JFS, Ishikiriama SK. Do different bleaching protocols affect the enamel microhardness? Eur J Dent. 2015 Jan-Mar;9(1):25-30. doi: 10.4103/1305-7456.149634. PMID: 25713480; PMCID: PMC4319295.
  14. Grazioli G, Valente LL, Isolan CP, Pinheiro HA, Duarte CG, Münchow EA. Bleaching and enamel surface interactions resulting from the use of highly-concentrated bleaching gels. Arch Oral Biol. 2018 Mar;87:157-162. doi: 10.1016/j.archoralbio.2017.12.026. Epub 2017 Dec 28. PMID: 29304422.
  15. Lago ADN, Ferreira WDR, Furtado GS. Dental bleaching with the use of violet light only: Reality or Future? Photodiagnosis Photodyn Ther. 2017 Mar;17:124-126. doi: 10.1016/j.pdpdt.2016.11.014. Epub 2016 Nov 27. PMID: 27902926.
  16. GDC, Position Statement on Tooth Whitening, in: GD Council (Ed.) https://www.gdc-uk.org/docs/default-source/what-is-the-legal-position/tooth-whitening-position-statementf08f3f9796b446d88663d00f035d4c13.pdf?sfvrsn=16f71e9_7, 2016.
  17. Alkahtani R, Stone S, German M, Waterhouse P. A review on dental whitening. J Dent. 2020 Sep;100:103423. doi: 10.1016/j.jdent.2020.103423. Epub 2020 Jun 29. PMID: 32615235.
  18. Kury M, Wada EE, Silva DPD, Tabchoury CPM, Giannini M, Cavalli V. Effect of violet LED light on in-office bleaching protocols: a randomized controlled clinical trial. J Appl Oral Sci. 2020;28:e20190720. doi: 10.1590/1678-7757-2019-0720. Epub 2020 May 18. PMID: 32428059; PMCID: PMC7213781.
  19. Fernández E, Bersezio C, Bottner J, Avalos F, Godoy I, Inda D, Vildósola P, Saad J, Oliveira OB Jr, Martín J. Longevity, Esthetic Perception, and Psychosocial Impact of Teeth Bleaching by Low (6%) Hydrogen Peroxide Concentration for In-office Treatment: A Randomized Clinical Trial. Oper Dent. 2017 Jan/Feb;42(1):41-52. doi: 10.2341/15-335-C. Epub 2016 Aug 29. PMID: 27571237.
  20. Vildósola P, Vera F, Ramírez J, Rencoret J, Pretel H, Oliveira OB Jr, Tonetto M, Martín J, Fernández E. Comparison of Effectiveness and Sensitivity Using Two In-Office Bleaching Protocols for a 6% Hydrogen Peroxide Gel in a Randomized Clinical Trial. Oper Dent. 2017 May/Jun;42(3):244-252. doi: 10.2341/16-043-C. PMID: 28467262.
  21. Martín J, Vildósola P, Bersezio C, Herrera A, Bortolatto J, Saad JR, Oliveira OB Jr, Fernández E. Effectiveness of 6% hydrogen peroxide concentration for tooth bleaching—A double-blind, randomized clinical trial. J Dent. 2015 Aug;43(8):965-72. doi: 10.1016/j.jdent.2015.05.011. Epub 2015 Jun 6. PMID: 26057085.
  22. Rastelli ANS, Dias HB, Carrera ET, de Barros ACP, Dos Santos DDL, Panhóca VH, Bagnato VS. Violet LED with low concentration carbamide peroxide for dental bleaching: A case report. Photodiagnosis Photodyn Ther. 2018 Sep;23:270-272. doi: 10.1016/j.pdpdt.2018.06.021. Epub 2018 Jun 28. PMID: 29964222.
  23. Moncada G, Sepúlveda D, Elphick K, Contente M, Estay J, Bahamondes V, Fernandez E, Oliveira OB, Martin J. Effects of light activation, agent concentration, and tooth thickness on dental sensitivity after bleaching. Oper Dent. 2013 Sep-Oct;38(5):467-76. doi: 10.2341/12-335-C. Epub 2013 Feb 7. PMID: 23391030.
  24. Brugnera AP, Nammour S, Rodrigues JA, Mayer-Santos E, de Freitas PM, Brugnera A Junior, Zanin F. Clinical Evaluation of In-Office Dental Bleaching Using a Violet Light-Emitted Diode. Photobiomodul Photomed Laser Surg. 2020 Feb;38(2):98-104. doi: 10.1089/photob.2018.4567. Epub 2019 Aug 22. PMID: 31436475.
  25. Bortolatto JF, Trevisan TC, Bernardi PS, Fernandez E, Dovigo LN, Loguercio AD, Batista de Oliveira Junior O, Pretel H. A novel approach for in-office tooth bleaching with 6% H2O2/TiO_N and LED/laser system-a controlled, triple-blinded, randomized clinical trial. Lasers Med Sci. 2016 Apr;31(3):437-44. doi: 10.1007/s10103-016-1866-2. Epub 2016 Jan 21. PMID: 26796706.
  26. Soares DG, Ribeiro AP, da Silveira Vargas F, Hebling J, de Souza Costa CA. Efficacy and cytotoxicity of a bleaching gel after short application times on dental enamel. Clin Oral Investig. 2013 Nov;17(8):1901-9. doi: 10.1007/s00784-012-0883-1. Epub 2012 Dec 6. PMID: 23224040.
  27. Oesterle LJ, Shellhart WC. Maxillary midline diastemas: a look at the causes. J Am Dent Assoc. 1999 Jan;130(1):85-94. doi: 10.14219/jada.archive.1999.0033. PMID: 9919036.
  28. Abraham R, Kamath G. Midline diastema and its aetiology--a review. Dent Update. 2014 Jun;41(5):457-60, 462-4. doi: 10.12968/denu.2014.41.5.457. PMID: 25073229.
  29. Demirci M, Tuncer S, Öztaş E, Tekçe N, Uysal Ö. A 4-year clinical evaluation of direct composite build-ups for space closure after orthodontic treatment. Clin Oral Investig. 2015 Dec;19(9):2187-99. doi: 10.1007/s00784-015-1458-8. Epub 2015 Mar 24. PMID: 25802222.
  30. Wolff D, Kraus T, Schach C, Pritsch M, Mente J, Staehle HJ, Ding P. Recontouring teeth and closing diastemas with direct composite buildups: a clinical evaluation of survival and quality parameters. J Dent. 2010 Dec;38(12):1001-9. doi: 10.1016/j.jdent.2010.08.017. Epub 2010 Sep 6. PMID: 20826192.
  31. Pereira Sanchez N, Powers JM, Paravina RD. Instrumental and visual evaluation of the color adjustment potential of resin composites. J Esthet Restor Dent. 2019 Sep;31(5):465-470. doi: 10.1111/jerd.12488. Epub 2019 May 16. PMID: 31095870.
  32. Korkut B, Türkmen C. Longevity of direct diastema closure and recontouring restorations with resin composites in maxillary anterior teeth: A 4-year clinical evaluation. J Esthet Restor Dent. 2021 Jun;33(4):590-604. doi: 10.1111/jerd.12697. Epub 2020 Dec 23. PMID: 33354867.

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More

Help ?